Individual
DEVON LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
(757) 428-1630
Mailing address
909 DAIMLER DR, VIRGINIA BEACH, VA 23454-6948
(619) 948-8152
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-109467
VA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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